QQ-3398. Ms Andy Leo - Nursing – Ansu Baby – Colonoscopy

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Ms Kerry Colith

Charge Nurse

Fiona Stanley Hospital

11 Robin Warren

Murdoch WR 6780

Australia

05 March 2019

Dear Ms Colith,

Re:Ms Andy Leo, aged 45

Ms Andy Leo, who is scheduled for colonoscopy on 08 March 2019,requires your assessment and further management.

On 20 January 2019,Ms Leo presented with rectal bleeding. On examination, a palpable mass was noticed;therefore,she underwent multiple investigations, which revealed 6mm of mass on the left latral wall of rectum. Further histopathology report confirmed colon cancer. She was reffered to general surgery consultant and suggested colonoscopy as there is no evidence of metastasis.

Today, while preparing for surgery, she expressed concerns regarding problems with stoma and how to cope up in daily life. She was explained about pre-operative and post-operative management including prevention of infection.

Ms Leo is married and lives with supportive husband. She had appendectomy, left leg fracture and pneumonia in 2004,2008 and 2016 respectively. She has had arthritis in her hands and takes voltaran. She follows a sedentary life style and has been overweight since 30-years-old.

Ms Leo was advised to take low-residue light diet followed by semi solid and clear liquid prior to the surgery. She was instructed to be nil by mouth from 08 March 2019 at 12am. Enema was administered before bedtime for the last three days.

In case of any further queries, do not hasitate to contact me.

Yours sincerely,

Registered Nurse

Lime Medical Centre.

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